Evidence map›Paper›PMID 33841678›Full record

ArticleAmerican journal of translational research2021

Dysbiosis of intestinal microbiota in critically ill patients and risk of in-hospital mortality.

Ru Wei, Xu Chen, Linhui Hu, Zhimei He, Xin Ouyang, Silin Liang, Shixue Dai, Weihong Sha, Chunbo Chen

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 31 citations in OpenAlex.

  1. Comparison between the NUTRIC score and modified NUTRIC score to predict hospital mortality in patients undergoing cardiac surgery: A retrospective study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
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  4. Adjunctive use ofTranslational gastroenterology and hepatology · 2026
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  11. Observational
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  15. Antibiotics in anesthesia and critical care.Annals of translational medicine · 2024
    Review
  16. Gut mycobiome dysbiosis after sepsis and trauma.Critical care (London, England) · 2024
    Article
  17. Review
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Ru WeiDepartment of Child Health Care, Guangzhou Women and Children's Medical Center No. 9 Jinsui Road, Guangzhou 510623, Guangdong Province, China.
Xu ChenThe Second School of Clinical Medicine, Southern Medical University Guangzhou 510515, Guangdong, China.
Linhui HuDepartment of Critical Care Medicine, Maoming People's Hospital 101 Weimin Road, Maoming 525000, Guangdong, China.
Zhimei HeGuangdong Provincial People's Hospital, School of Medicine, South China University of Technology Guangzhou 510080, Guangdong, China.
Xin OuyangGuangdong Provincial People's Hospital, School of Medicine, South China University of Technology Guangzhou 510080, Guangdong, China.
Silin LiangDepartment of Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences 106 Zhongshan Er Road, Guangzhou 510080, Guangdong, China.
Shixue DaiDepartment of Gastroenterology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, South China University of Technology 106 Zhongshan Er Road, Guangzhou 510080, Guangdong, China.
Weihong ShaDepartment of Gastroenterology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, South China University of Technology 106 Zhongshan Er Road, Guangzhou 510080, Guangdong, China.
Chunbo ChenDepartment of Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences 106 Zhongshan Er Road, Guangzhou 510080, Guangdong, China.
Guangdong Academy of Medical Sciences · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the essential functions of the intestinal microbiota in human physiology, little research was reported on gut microbiota alterations in intensive care patients. This investigation examined the dysbacteriosis of intestinal flora in critically ill patients and evaluated the prognostic performance of this dysbiosis to predict in-hospital mortality.

methodsA prospective cohort of patients were consecutively recruited in the Intensive Care Units (ICUs) in Guangdong Provincial People's Hospital from March 2017 through October 2017. Acute Physiology and Chronic Health Evaluation (APACHE) II score and Sequential Organ Failure Assessment (SOFA) score were assessed, and fecal samples were taken for examination within 24 hours of ICU admission. The taxonomic composition of the intestinal microbiome was determined using 16S rDNA gene sequencing. Patients were divided into survival and death groups based on hospital outcomes. The two groups were statistically compared using the Wilcoxon test and Metastats analysis. The genera of bacteria showing significantly different abundance between groups were assessed as predictors of in-hospital death. The prognostic value of bacterial abundance alone and in combination with APACHE II or SOFA score was evaluated using the area under the receiver operating characteristic curve (AUROC).

resultsAmong the 61 patients examined, 12 patients (19.7%) died during their hospital stay.

conclusionsDysbiosis of intestinal microbiota with variable degrees of reduction in

Indexed as

bifidobacteriumin-hospital mortalityintensive care unitIntestinal dysbiosisprognostic valuescoring system

Identifiers

PMID33841678
PMCPMC8014420
OpenAlexW3154350431

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.